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General NPI Number Information
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NPI Number | 1306621834
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Entity Type | Organization
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Legal Business Name | LOWER KEYS FOOT AND ANKLE SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 09/16/2023
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Provider Practice Location Address
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Address Line | 1111 12TH ST STE 211
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City | KEY WEST
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State | FL
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Zip | 33040-3001
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Country | US
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Telephone | 305-396-3360
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Fax | 305-396-3361
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Provider Business Mailing Address
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Address Line | 1111 12TH ST STE 211
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City | KEY WEST
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State | FL
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Zip | 33040-3001
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Country | US
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Telephone | 305-396-3360
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Fax | 305-396-3361
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT WILLIAM HUTCHISON
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Credential | DPM
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Telephone | 305-396-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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